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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013417512
Report Date: 04/30/2024
Date Signed: 04/30/2024 03:08:50 PM

Document Has Been Signed on 04/30/2024 03:08 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:GARCIA, MARIA TERESITAFACILITY NUMBER:
013417512
ADMINISTRATOR/
DIRECTOR:		GARCIA, MARIA TERESITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 309-1166
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 10DATE:
04/30/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:56 AM
MET WITH:Maria Teresita Garcia- LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
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On 4/30/24, Licensing Program Analyst (LPA) Plumboy arrived to the facility to conduct an Unannounced annual inspection. LPA was met by Licensee Maria Teresita Garcia. Present during today's visit was the licensee's fingerprint cleared spouse Tomas Garcia, and 10 day care children (2 infants and 8 preschoolers). Lic. 126 was provided to licensee by LPA Plumboy. This facility currently operates from 7:00am until 6:00pm. The licensee accompanied LPA Plumboy on a tour of the home and backyard.

The home is two stories. There is a barricade/gate at the bottom of the stairs which was in place during today's inspection as well as a child safety gate located between the living and family room. All children in care were in the bedroom located on the first level and family room during today's inspection. The ON LIMIT AREAS are the entire first level of the home except the laundry room and garage. The OFF LIMIT AREAS are the laundry room, garage, and entire second level of the home which will be inaccessible by closed and/or locked doors, child safety gates, and visual supervision. The ISOLATION AREA will be the living room. The BACKYARD play area is completely fenced. There are toys, activities, and equipment during today's inspection. There are no pools, hot tubs or any other bodies of water present during today's inspection. There are no swing sets present at the facility during today's inspection which are required to be anchored. There is a trampoline at the facility during today's inspection and licensee was reminded by LPA Plumboy to read manufacture guidelines on the equipment and follow them at all times. There are no pools, hot tubs or any other bodies of water present during today's inspection. The home has a fully charged 2A10BC fire extinguisher, working smoke detector, working carbon monoxide detector, and working telephone. The fireplace is screened to prevent access by children. Per licensee, there are no firearms in the home.

Licensee Maria Teresita and Tomas Garcia's CPR and First Aid certificates are current and expire 12/2/25. Maria Teresita's mandated reporter training certificate was received on 04/19/2024. The licensee and her husband Tomas are in compliance with the immunization law. The facility conducts and documents fire and disaster drills twice a year with the last one conducted on 4/23/24.
10 Children files were reviewed. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review. See 809-C for continuance
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE: DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/30/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GARCIA, MARIA TERESITA
FACILITY NUMBER: 013417512
VISIT DATE: 04/30/2024
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Licensee Maria Teresita Garcia is aware she should have knowledge of all Title 22 Regulations and follow all Title 22 Regulations at all times, as well as follow manufacture guidelines for all equipment in the facility.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.



To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Licensee Maria Teresita Garcia was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

See 809-C for continuance
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GARCIA, MARIA TERESITA
FACILITY NUMBER: 013417512
VISIT DATE: 04/30/2024
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Licensee Maria Teresita Garcia was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

LPA discussed the safe sleep regulations with licensee Maria Teresita Garcia and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed licensee Maria Teresita Garcia of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

During the exit interview, the Licensee Maria Teresita Garcia confirmed that there are no Registered Sex Offenders living in the facility.

A notice of site visit was given and must remain posted for 30 days.

No deficiencies today's inspection. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with licensee Maria Teresita Garcia.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024
LIC809 (FAS) - (06/04)
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